David J. Stott & Gordon D. O. Lowe 
Cardiovascular Disease and Health in the Older Patient 
Expanded from ‘Pathy’s Principles and Practice of Geriatric Medicine, Fifth Edition’

As improvements in living conditions and advances in modern
medicine lead to increased life expectancy and the number of older
adults world-wide continues to grow, so the number of older
individuals with cardiac and cerebrovascular disease is rising.
Over eighty per cent of all cardiovascular disease-related deaths
now occur in patients aged sixty five or older. The high
prevalence of co-morbidities, frailty and cognitive decline amongst
older patients requires that a holistic approach to the management
of cardiovascular disease is required.

Written and edited by leading experts in the field,
‘Cardiovascular diseases and health in the older
patient’ provides scholarly evidence and data which
explain why treating an older patient with cardiovascular disease
is often different from treating a young or middle-aged patient
with the same disease. The chapters have been updated and
expanded from the cardiovascular section of the renowned
‘Pathy’s Principles and Practice of Geriatric
Medicine’, edited by Alan J. Sinclair, John E. Morley and
Bruno Vellas. The revised chapters contain updated evidence
and references to recent clinical practice guidelines in Europe and
North America, this book provides complete, authoritative
information on this major cause of death, poor health and
disability in old age.

Covering the epidemiology, pathophysiology and management of
cardiovascular disease in the older patient, the book is an
excellent reference at all clinical and pre-clinical levels and
will appeal particularly to geriatricians, cardiologists, and GPs,
as well as cardiac specialist nurses and practice nurses.

With a Foreword by Stuart M. Cobbe.

Table of Content

List of Contributors, vii

Foreword, ix

Introduction, xi

1 Epidemiology of Heart Disease, 1

Ahmed H. Abdelhafiz

2 Cardiac Ageing and Systemic Disorders, 29

David J. Stott and Terence J. Quinn

3 Hypertension, 44

Anthony S. Wierzbicki and Adie Viljoen

4 Lipid Management, 68

Adie Viljoen and Anthony S. Wierzbicki

5 Arrhythmias, 90

Abhay Bajpai and A. John Camm

6 Hypotension, 135

Suraj Alakkassery

7 Ischaemic Heart Disease, 152

Wilbert S. Aronow

8 Heart Failure, 172

Michael W. Rich

9 Cardiac Surgery, 202

Ulrich O. von Oppell and Adam Szafranek

10 Cardiac Rehabilitation, 234

Niccol`o Marchionni, Francesco Fattirolli, Francesco Orso, Marco
Baccini, Lucio A. Rinaldi and Giulio Masotti

11 Acute Stroke Care and Management of Carotid Artery Stenosis,
261

David Doig and Martin M. Brown

12 Stroke Rehabilitation, 299

Lalit Kalra

13 Communication Disorders and Dysphagia, 329

Pamela M. Enderby

14 Peripheral Arterial Disease, 345

Leocadio Rodr´yguez-Ma ~ nas, Marta Castro
Rodr´yguez and Cristina Alonso Bouz´on

15 Venous Thromboembolism, 366

Gordon D.O. Lowe

16 Planning Cardiovascular Investigations and Management of
Older People, 376

Jennifer K. Harrison, Terence J. Quinn and David J.
Stott

Index, 395

About the author

David Stott is Cargill Professor of Geriatric Medicine at
the University of Glasgow. Chair, Health Services Research
Committee, CSO, Scottish Executive, from December 2007.
Systematic Reviews Editor and Member of the Editorial Board
for Age and Ageing, 1998 to present. Subeditor for Geriatric
Medicine British Medical Bulletin, August 2004 to present.
International Advisor, Asian Journal of Gerontology and Geriatrics,
August 2006 to present.

Gordon D.O. Lowe is Emeritus Professor (formerly
Professor of Vascular Medicine) at the University of Glasgow;
Director, Haemostasis and Thrombosis Laboratory and Co-Director,
West of Scotland Haemophilia and Thrombosis Centre. He has
developed a major research programme including clinical trials, and
analyses in epidemiological studies of the contributions of
haemostatic, thrombotic and haemorheological factors to vascular
diseases.